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Individual

TIFFANY M CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1355 S COLORADO BLVD, DENVER, CO 80222-3305
(303) 756-9052
Mailing address
2212 S YAMPA CT, AURORA, CO 80013-4211
(812) 396-9165

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/05/2020
Last updated
08/06/2020
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